A 12-year-old male has short stature because of a constitutional ...

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A 12-year-old male has short stature because of a constitutional growth delay. The nurse should be the most concerned about which of the following?
 
  a. Proper administration of thyroid hormone
  b. Proper administration of human growth hormones
  c. Child's self-esteem and sense of competence
  d. Helping child understand that his height is most likely caused by chronic illness and is not his fault

Question 2

Smokeless tobacco is:
 
  a. not addicting.
  b. proven to be carcinogenic.
  c. easy to stop using.
  d. a safe alternative to cigarette smoking.

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Answer to Question 1

ANS: C
Most cases of constitutional growth delay are caused by simple constitutional delay of puberty, and the child can be assured that normal development will eventually take place. Listening to distressed adolescents and conveying interest and concern are important interventions for these children and adolescents. They should be encouraged to focus on the positives aspects of their bodies and personalities. Thyroid hormones and human growth hormones would not be beneficial in a constitutional growth delay. A constitutional growth delay is not caused by a chronic illness.

Answer to Question 2

ANS: B
Smokeless tobacco is a popular substitute for cigarettes and poses serious health hazards to children and adolescents. Smokeless tobacco is associated with cancer of the mouth and jaw. The nicotine in the smokeless tobacco is addicting, and therefore it is very difficult to quit. Because the product is addicting and can cause cancer, it is not a safe alternative to cigarette smoking.

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[harveenkau8139]

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